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1508500737
BRANDI JACKSON
ROCHESTER, NY
NPI
1508500737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 343987)
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
BRANDI JACKSON
585 WOODBINE AVE
ROCHESTER, NY 14619-2039
Phone number: 585-794-8230
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Mailing Address
BRANDI JACKSON
585 WOODBINE AVE
ROCHESTER, NY 14619-2039
Phone number: 585-794-8230
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